Rule of nines for adults - Answer-Head: 9%
Chest front and back: 36%
Arms: 9% ea.
Legs: 18% ea.
Groin: 1%
Rule of nines for children - Answer-Head: 18%
Chest front and back: 36%
Arms: 9% ea.
Legs: 14% ea.
What is crepitus (chest tubes)? - Answer-Bubbling/crackling felt near chest tube
insertion site
What would NOT be a good sign in a chest tube container? - Answer-Continuous
bubbling
What is a pneumothorax? - Answer-Air leaking into the space between the lungs and
chest wall
What is a hemothorax? - Answer-Blood leaking into the space between the lungs and
the chest wall
What is the role of the nurse in preparing for blood transfusions? - Answer-Know what is
ordered
Labs
Consent
Know how to administer
Know transfusion reactions
What does a type and screen investigate? - Answer-Patient blood type and RH antigens
How long are type and screen results good for? - Answer-72 hours
What reduces the possibility of a blood transfusion reaction? - Answer-Type and screen
, What does a type and crossmatch ensure and how? - Answer-Compatibility by mixing
patient serum with donor RH
What kind of blood products will be cross-matched? - Answer-Those containing RBCs
Supplies needed for a blood draw - Answer-Lab tubes
Labels
Clean gloves
Alcohol
Vacutainer
Saline
5ml syringes
Tourniquet
Steps for a PIV lab draw - Answer-Stop IVF / disconnect tubing
Apply tourniquet
Clean IV site
Flush with saline
Clean IV site
Connect 5 ml syringe
Pull back 3ml
Clean IV site
Connect new 5 ml syringe
Pull back 1 ml
Remove tourniquet
Flush site with saline
Why should you fill the blood filter with saline first? - Answer-So as not to lyse blood
cells
How fast should you give blood for the first 15 minutes? - Answer-30 ml/hour
What should you do before a blood transfusion? - Answer-Vitals
Assess IV patency
What can blood products pose a severe risk for? - Answer-Extravasation
What can blood products be infused with? - Answer-Normal saline ONLY
How often should vitals be taken before/after blood transfusions? - Answer-Before
getting blood from bank
Before transfusion
5 minutes after start
15 minutes after start
30 minutes after start
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